| NPI | 1508251216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101274067) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125067288) |
| 207L00000X Anesthesiology (Licence: OH 57.247099) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2022-05-14 |